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Exploring ethical dilemmas in vascular surgery practice. A Qualitative study.

Evangelos C Fradelos1, Eleni Tsimitrea1, Elias Tsagalas2

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Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
|December 13, 2025
PubMed
Summary

Vascular surgeons face ethical dilemmas balancing patient care and minimizing harm. Understanding and aligning treatment with patient values, including end-of-life care, is crucial for effective vascular surgery practice.

Keywords:
Ethical dilemmas vascular surgeryEthical issuesProfessional Ethics

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Area of Science:

  • Medical Ethics
  • Vascular Surgery
  • Healthcare Professional Challenges

Background:

  • Vascular surgery practice frequently involves complex ethical dilemmas.
  • These challenges impact both vascular surgeons and nurses.
  • Ethical considerations are integral to patient care in vascular interventions.

Purpose of the Study:

  • To explore the ethical dilemmas encountered by healthcare professionals in vascular surgery.
  • To identify key ethical challenges faced in daily practice.
  • To understand the nuances of patient care and treatment alignment.

Main Methods:

  • Qualitative study utilizing focus groups.
  • Semi-structured interviews with ten healthcare professionals.
  • Inductive content analysis of transcribed discussions.

Main Results:

  • Two primary themes emerged: balancing patient care/minimizing harm and aligning treatment with patient values.
  • Subthemes included patient autonomy, age considerations, end-of-life care, and understanding patient preferences.
  • Balancing patient care with minimal complications is a significant daily challenge.

Conclusions:

  • Vascular healthcare professionals grapple with diverse ethical concerns.
  • Balancing patient care, minimizing harm, and respecting patient values are persistent ethical issues.
  • Addressing these dilemmas is essential for optimal vascular surgery outcomes.